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Effect of General Adiposity and Central Body Fat Distribution on the Circulating Metabolome: A Multicohort Nontargeted Metabolomics Observational and Mendelian Randomization Study
Uppsala University, Sweden; Harvard Medical School, Brigham and Women's Hospital, USA.ORCID iD: 0000-0002-3873-7943
Uppsala University, Sweden.
Uppsala University, Sweden.
Uppsala, Sweden; Örebro University, Sweden.
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2021 (English)In: Diabetes, ISSN 0012-1797, E-ISSN 1939-327X, Vol. 71, no 2, p. 329-339Article in journal (Refereed) Published
Abstract [en]

Obesity is associated with adverse health outcomes, but the metabolic effects have not yet been fully elucidated. We aimed to investigate the association between adiposity and circulating metabolites and to address causality with Mendelian randomization (MR). Metabolomics data were generated with nontargeted ultraperformance liquid chromatography coupled to time-of-flight mass spectrometry in plasma and serum from three population-based Swedish cohorts: ULSAM (N = 1,135), PIVUS (N = 970), and TwinGene (N = 2,059). We assessed associations of general adiposity measured as BMI and central body fat distribution measured as waist-to-hip ratio adjusted for BMI (WHRadjBMI) with 210 annotated metabolites. We used MR analysis to assess causal effects. Lastly, we attempted to replicate the MR findings in the KORA and TwinsUK cohorts (N = 7,373), the CHARGE Consortium (N = 8,631), the Framingham Heart Study (N = 2,076), and the DIRECT Consortium (N = 3,029). BMI was associated with 77 metabolites, while WHRadjBMI was associated with 11 and 3 metabolites in women and men, respectively. The MR analyses in the Swedish cohorts suggested a causal association (P value <0.05) of increased general adiposity and reduced levels of arachidonic acid, dodecanedioic acid, and lysophosphatidylcholine (P-16:0) as well as with increased creatine levels. The results of the replication effort provided support for a causal association of adiposity with reduced levels of arachidonic acid (P value = 0.03). Adiposity is associated with variation of large parts of the circulating metabolome; however, further investigation of causality is required in well-powered cohorts.

Place, publisher, year, edition, pages
American Diabetes Association , 2021. Vol. 71, no 2, p. 329-339
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Public Health, Global Health and Social Medicine
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URN: urn:nbn:se:sh:diva-55071DOI: 10.2337/db20-1120ISI: 000891579900013PubMedID: 34785567Scopus ID: 2-s2.0-85123813601OAI: oai:DiVA.org:sh-55071DiVA, id: diva2:1907750
Available from: 2024-10-23 Created: 2024-10-23 Last updated: 2025-10-07Bibliographically approved

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Ahmad, Shafqat

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